Extensive Chronic Type B Aortic Dissection Extending to the Left Common Femoral Artery a Rare Case Report

Background: Aortic dissection is a potentially fatal condition, defined as an injury in the innermost layer of the aortic wall leading to high-pressure blood flow between the layers of the aorta, creating a false lumen. CT aortogram is the gold standard for diagnosing AD due to its high sensitivity and specificity. Treatment of acute type a aortic dissection (TAAD) is by surgery while acute type B aortic dissection (TBAD) is managed by medical therapy.

Aim: Recognition of aortic dissection and its different clinical presentations.

Methods: Herein we report a 47-year-old man presenting repeatedly for years to the Emergency Department of various hospitals in Saudi Arabia with symptoms of chest pain that were thought to be from Acute coronary syndrome (ACS), but later diagnosed as aortic dissection type B.

Conclusion and Results: The incidence of TBAD is under-reported and might be misdiagnosed for years.